ANATOMIC PATHOLOGY COMPUTER SYSTEMS
FEBRUARY 2022 | CAP TODAY 53
Part 1 of 7
AP Easy Software Solutions
Tracy Terrio sales@apeasy.com
Manchester, NH
800-647-2263 www.apeasy.com
Cerner
Jennifer Smith jennifer.smith@cerner.com
Kansas City, MO
816-201-3923 www.cerner.com
Comp Pro Med
Megan Zelenak sales@comppromed.com
Santa Rosa, CA
707-890-6589 www.comppromed.com
Name of anatomic pathology system
How AP system functionality is deployed
Configuration of AP system
AP Easy
available as local server/software and cloud based
available as a standalone product designed to interface
with any company’s LIS and EHR
Polytech for Pathology
available as local server/software, ASP, and cloud based
available as a dedicated module for Comp Pro Med’s
clinical LIS and as a standalone product designed to
interface with any company’s LIS and EHR
Year company began selling AP systems (any brand or model)
Most recent installation of this AP system*
Last product release or update for featured AP system*
Total No. of contracts for sites operating AP system
• No. of sales and installations of this system between Dec. 2020–Nov. 2021
No. of sites operating AP system (hospitals/independent labs/clinics or
group practices/other U.S. sites/foreign sites)
Company markets this AP system outside the U.S.
• Foreign locations in which system installed
1989
November 2021
December 2021 (cloud version)
671
20 sales and 15 installations
—
no
—
Human languages (other than English) offered on system
—
Cerner Anatomic Pathology
available as local server/software, ASP, and cloud based
available as a dedicated module for Cerner’s clinical
LIS and EHR and as a standalone product designed
to interface with any company’s LIS and EHR (<1% of
installations use AP system as a standalone product)
1982
November 2021
October 2021 (version 2018.09)
— (256 domains)
12 sales and 11 installations
— (breakdown of U.S. sites not tracked; 32 foreign
sites–hospitals, reference labs)
yes (in Middle East, Canada, Latin America, UK, others)
Australia, Brazil, Canada, UAE, UK, Egypt, Qatar, Malaysia,
Saudi Arabia, Singapore
British-English, French, German, Spanish
Approximate No. of employees in entire company
Company provides list of client sites to potential customers on request
Clients restricted from sharing their experience with company or software
20
yes
—
30,000+
yes (partial list of comparable sites with no restrictions)
no
9
no (information is confidential)
no
Range in No. of surgical pathology cases per year in installed sites
Range in No. of gynecologic cytology cases per year in installed sites
100–180,000
1,000–150,000
—
—
—
—
Programming languages and development applications or environments
Databases and tools
Java, Apache Groovy, JavaScript
MySQL
Java, C++, C#
Oracle
C++, PHP, HTML, JavaScript
MySQL
Features/modules incorporated in product:
• Surgical pathology information system/Cytology information system
• Autopsy information system/Autopsy measurements, organ weights
• Scan and store manual requisition
• Specimen tracking/Specimen storage and retrieval
installed at client sites/installed at client sites
available but not installed/available but not installed
installed at client sites
installed at client sites/installed at client sites
available but not installed/available but not installed
available but not installed/available but not installed
available but not installed
available but not installed/available but not installed
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
not available for this software
installed at client sites
not available for this software
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
available via Cerner laboratory imaging
available via Cerner Advanced Barcode and Tracking and
RFID tracking/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
available via Cerner provider portal
available via Cerner provider portal
not available for this software
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
not available for this software
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
available via a third party
avail. via Cerner Outreach Operations/installed at client sites
installed at client sites
available but not installed
available but not installed/available but not installed
available but not installed
under development/available but not installed
available but not installed/available but not installed
under development
not available for this software (both features)
available but not installed
installed at client sites
installed at client sites
available but not installed
installed at client sites/installed at client sites
installed at client sites
installed at client sites/not available for this software
available via Cerner Millennium Helix
available but not installed/under development
available but not installed
Percentage of sites using result-reporting interfaces to external systems
based on transmission of fully formatted (e.g., PDF or CDA) results
60–65%
<10%
—
Software provides indexed field in each test definition for LOINC code
AP system supports use of SNOMED CT for all cases
no
no
yes (provide current LOINC dictionary with install)
yes
yes (provide current LOINC dictionary with install)
no
System can auto. send tumor diagnoses to regional or state tumor registry
using NAACCR Pathology Lab Electronic Reporting, vol. V, version 4.0
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
yes
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
Company uses third-party product for interfaces between AP system
and instruments
Other vendors’ lab systems to which AP system can bidirectionally interface
yes, for all instrument interfaces (MDController from
Neora Health)
Allscripts, CPSI, Epic, eClinicalWorks, Orchard, GE
Healthcare, McKesson, Xifin, Greenway, others
no (interface directly)
no (interface directly)
Epic, Allscripts, McKesson, Meditech, GE Healthcare,
4medica
—
Voice-recognition products or partners that system uses
Digital pathology or WSI systems that interface to AP system
Nuance Dragon, Dolbey, Amazon Transcribe
none
Voicebrook, Nuance Dragon
Leica
Dragon Dictate/Speak
none
Client receives copy of source code
User group that meets on established schedule
Qualified users or third parties can modify or augment AP system
functionality or features
Methods by which users can tailor AP system in their own setting
no
no
no (all modifications made by vendor)
no
yes (via webinar and online collaborative community)
no (all modifications made by vendor)
no
no
yes (client users)
ad hoc query tools, dictionary settings, user- and
lab-specific configurable preferences
ad hoc query tools, user-defined interfaces, dictionary
settings
ad hoc query tools, user-defined interfaces, dictionary
settings, read/write privileges, system outputs
• easy access to customer support by phone, email,
and ticketing system
• cloud accessible; affordable and scalable for labs of
any size
•m
ore than 35 years of continuous innovation in
laboratory and pathology markets
• tracking of specimens from point of origin to storage
• a ll system outputs are user-configurable using
sophisticated built-in tools
• r eal-time rules-driven, user-defined, content-based
functionality
•
•
•
•
•
•
•
•
•
•
•
Entry of block IDs
Print specimen labels/Print histology slide labels
Print barcoded slide labels/Print barcoded cassettes
Print linear barcodes/Print two-dimensional barcodes
Print histology worksheets
Word processing—vendor specific
Voice entry of gross description/Voice entry of final diagnosis
Gross images integrated in reports
Microscopic images integrated in reports
Electronic signature
Remote printing of completed reports
Automatically fax reports to clients without manual intervention
Web-based remote inquiry of reports
Physician Web access for order entry
Natural language search capability
Multi-site or multi-facility–wide area network
Sound-alike (e.g., Soundex) retrieval of patient history
Produce tumor board reports/Produce management reports
Reports sufficient to comply with CLIA ’88 regulations
Comprehensive billing and AR/Interface to external billing system
Inbound result-reporting interface to receive discrete results from
an external lab and store them in patient record
EHR interface: admissions/discharge/transfer (ADT)
EHR interface: result reporting/Report sent to EHR as PDF for clinician
EHR interface: incoming clinical results
Partin tables/Gleason score calculations
Synoptic reporting for microscopic examination/For gross examination
CAP electronic cancer checklists automatically embedded
Client services module/Consult management and reporting
LIS manager or lab employee can create ad hoc reports accessing all
data elements in AP system
Lab can define and modify schedule under which management and
patient reports are automatically compiled and run
Business analytics/Management dashboard
Support for molecular testing and reporting
Distinguishing product features (supplied by company)
*based on December 2021 survey deadline
Note: a dash as an answer means company did not answer
question or question is not applicable
All information is supplied by the companies listed. The tabulation does not represent an endorsement by the CAP.
2022
— (new product)
new product (version 8.6.4)
—
—
—
yes (in Philippines, Africa, Bhutan, Canada, Caribbean)
—
any supported by Windows operating system
available but not installed
available but not installed/available but not installed
available but not installed/available but not installed
available but not installed/available but not installed
available but not installed
available but not installed
available but not installed/available but not installed
available but not installed
available but not installed
available but not installed
available but not installed
available but not installed
available but not installed
available but not installed
under development
available but not installed
available but not installed
available but not installed/available but not installed
available but not installed
not available for this software/available but not installed
available but not installed
Product guide editors: Raymond D. Aller, MD, and Dennis Winsten
54 CAP TODAY | FEBRUARY 2022
ANATOMIC PATHOLOGY COMPUTER SYSTEMS
Part 2 of 7
Computer Trust Corp.
David Liberman, MD drdave@ctcsurge.com
Boston, MA
617-557-9264 ext. 600 www.winsurge.com
Cortex Medical Management Systems
Carrie Cohen ccohen@cortexmed.com
Seattle, WA
206-812-6981 www.cortexmed.com
Epic
Nick Trentadue ntrentad@epic.com
Verona, WI
608-271-9000 www.epic.com
Name of anatomic pathology system
How AP system functionality is deployed
Configuration of AP system
WinSURGE
available as local server/software and cloud based
available as a standalone product designed to interface
with any company’s LIS and EHR
Cortex AP LIS
available as local server/software, ASP, and cloud based
available as a standalone product designed to interface
with any company’s LIS and EHR
Year company began selling AP systems (any brand or model)
Most recent installation of this AP system*
Last product release or update for featured AP system*
Total No. of contracts for sites operating AP system
• No. of sales and installations of this system between Dec. 2020–Nov. 2021
No. of sites operating AP system (hospitals/independent labs/clinics or
group practices/other U.S. sites/foreign sites)
Company markets this AP system outside the U.S.
1989
June 2021
October 2021 (version 56.9 server; 5.2.2 client)
108
9 sales and 1 installation
132 (36/65/—†/31–multi-site enterprise/0 [sites in
Puerto Rico combined with U.S. sites])
yes (in Puerto Rico)
1986
July 2021
April 2021 (version 10.2.15)
57
2 sales and 1 installation
57
Beaker
available as local server/software, ASP, and cloud based
available as a dedicated module for Epic’s clinical
LIS and EHR and as a standalone product designed
to interface with any company’s LIS and EHR (2% of
installations use AP system as a standalone product)
2011
December 2021
November 2021 (version Epic November 2021)
208
29 sales and 29 installations
not tracked
no
• Foreign locations in which system installed
Human languages (other than English) offered on system
—
—
—
—
yes (in UK, Northern Ireland, Norway, Denmark, Finland,
Netherlands, Saudi Arabia, Australia, UAE, others)
UK, Norway, Belgium, Canada, Singapore, Lebanon
Norwegian, French, German
Approximate No. of employees in entire company
Company provides list of client sites to potential customers on request
Clients restricted from sharing their experience with company or software
—
yes (partial list of comparable sites with no restrictions)
no
11
yes (with client approval)
no
11,115
yes (complete list with no restrictions)
no
Range in No. of surgical pathology cases per year in installed sites
Range in No. of gynecologic cytology cases per year in installed sites
2,500–1,500,000
0–300,000
3,000–300,000
4,000–40,000
250–730,000
—
Programming languages and development applications or environments
Databases and tools
Caché, .Net, Visual Basic, SQL
Object Caché, Crystal Reports, Microsoft Word document
templates, many user “bolt-ons” via SQL/Java, others
.Net
Microsoft SQL server
Visual Basic, Caché, C#, .Net, JavaScript
Chronicles, SQL
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
in testing/—
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
—
installed at client sites
installed at client sites
—
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
in testing
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
under development/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
Percentage of sites using result-reporting interfaces to external systems
based on transmission of fully formatted (e.g., PDF or CDA) results
90%
98%
100%
Software provides indexed field in each test definition for LOINC code
AP system supports use of SNOMED CT for all cases
yes
yes
no
—
yes (provide current LOINC dictionary with install)
yes
System can auto. send tumor diagnoses to regional or state tumor registry
using NAACCR Pathology Lab Electronic Reporting, vol. V, version 4.0
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
Company uses third-party product for interfaces between AP system
and instruments
combination of direct interfaces and third-party systems
combination of direct interfaces and third-party systems
(Data Innovations)
Other vendors’ lab systems to which AP system can bidirectionally interface
combination of direct interfaces and third-party systems
(client’s choice; Agillaire, Cloverleaf, Orchard Copia,
Ellkay)
Epic, Cerner, McKesson, Meditech, Allscripts
Meditech, Epic, Cerner, Halfpenny, Orchard, others
Cerner, SCC Soft Computer, Sunquest, Haemonetics,
Orchard, Lifepoint, Atlas, WellSky
Voice-recognition products or partners that system uses
Digital pathology or WSI systems that interface to AP system
Nuance Dragon NaturallySpeaking Professional, others
Leica Aperio
Nuance Dragon, Voicebrook, others
none
Nuance, M*Modal, Voicebrook
Leica, Inspirata, Corista, Philips, Sectra
Client receives copy of source code
User group that meets on established schedule
Qualified users or third parties can modify or augment AP system
functionality or features
Methods by which users can tailor AP system in their own setting
escrow (optional)
no
yes (client users)
escrow
yes (in person, via webinar, and via conference call)
no (all modifications made by vendor)
yes
yes (in person, via webinar, and via conference call)
yes (client users and designated third parties)
ad hoc query tools, user-defined interfaces, dictionary
settings, read/write privileges, WinsRULES rules-based
engine, WinsALERT executive dashboard, others
• powerful and configurable functionality, flexibility, and
customer service
• comprehensive: tracking, interfaces, rules engine,
real-time analytics, paperless workflow
ad hoc query tools, user-defined interfaces, dictionary
settings
ad hoc query tools, user-defined interfaces, dictionary
settings, read/write privileges
• d ynamic features, histotech workbench, Web report
portal, and integrated billing module
• o ver 35 years of commitment and experience with
AP clients
• integrated disease reporting for external clients and
in-house physicians
• single database across all lab specialties and
imaging–RIS, AP, CP, molecular, NGS
Features/modules incorporated in product:
• Surgical pathology information system/Cytology information system
• Autopsy information system/Autopsy measurements, organ weights
• Scan and store manual requisition
• Specimen tracking/Specimen storage and retrieval
• Entry of block IDs
• Print specimen labels/Print histology slide labels
• Print barcoded slide labels/Print barcoded cassettes
• Print linear barcodes/Print two-dimensional barcodes
• Print histology worksheets
• Word processing—vendor specific
• Voice entry of gross description/Voice entry of final diagnosis
• Gross images integrated in reports
• Microscopic images integrated in reports
• Electronic signature
• Remote printing of completed reports
• Automatically fax reports to clients without manual intervention
• Web-based remote inquiry of reports
• Physician Web access for order entry
• Natural language search capability
• Multi-site or multi-facility–wide area network
• Sound-alike (e.g., Soundex) retrieval of patient history
• Produce tumor board reports/Produce management reports
• Reports sufficient to comply with CLIA ’88 regulations
• Comprehensive billing and AR/Interface to external billing system
• Inbound result-reporting interface to receive discrete results from
an external lab and store them in patient record
• EHR interface: admissions/discharge/transfer (ADT)
• EHR interface: result reporting/Report sent to EHR as PDF for clinician
• EHR interface: incoming clinical results
• Partin tables/Gleason score calculations
• Synoptic reporting for microscopic examination/For gross examination
• CAP electronic cancer checklists automatically embedded
• Client services module/Consult management and reporting
• LIS manager or lab employee can create ad hoc reports accessing all
data elements in AP system
• Lab can define and modify schedule under which management and
patient reports are automatically compiled and run
• Business analytics/Management dashboard
• Support for molecular testing and reporting
Distinguishing product features (supplied by company)
*based on December 2021 survey deadline
Note: a dash as an answer means company did not answer
question or question is not applicable
†included
with independent lab sites
All information is supplied by the companies listed. The tabulation does not represent an endorsement by the CAP.
56 CAP TODAY | FEBRUARY 2022
ANATOMIC PATHOLOGY COMPUTER SYSTEMS
Part 3 of 7
LabWare
Sarah Jones sjones@labware.com
Wilmington, DE
302-658-8444 www.labware.com
LigoLab
Suren Avunjian suren@ligolab.com
Glendale, CA
800-544-6522 www.ligolab.com
NetSoft
Byron Davis bdavis@netsoftusa.com
Snellville, GA
678-325-2909 www.netsoftusa.com
Name of anatomic pathology system
How AP system functionality is deployed
Configuration of AP system
LabWare
available as local server/software and an ASP
available as a dedicated module for LabWare’s clinical
LIS and as a standalone product designed to interface
with any company’s LIS and EHR (10% of installations
use AP system as a standalone product)
2013
September 2021
November 2021 (version 8.0 F)
17
2 sales and 3 installations
17 (0/2/0/0/15–hospitals, oncology, reference labs,
veterinary)
yes (worldwide)
Kenya, New Zealand, Germany, Australia, UK, Mexico,
Hong Kong, Nigeria, Denmark, Colombia
German, Spanish, Swedish, Chinese, Norwegian,
Japanese, Portuguese, Russian, Hebrew, Italian, French
LigoLab AP/LIS & RCM 2022†
available as local server/software, ASP, and cloud based
available as a standalone product designed to interface
with LigoLab’s clinical LIS and any company’s EHR
IntelliPath
available as local server/software and an ASP
available as a standalone product designed to interface
with any company’s LIS and EHR
2006
December 2021
December 2021 (version LigoLab AP/LIS & RCM 2021.5.2)
75
13 sales and 37 installations
151 (0/151/0/0/0)
2001
December 2020
December 2021 (version 2021.12.01)
103
1 sale and 1 installation
202 (6/88/108/0/0)
no
—
yes (in UK, Europe)
—
—
—
Approximate No. of employees in entire company
Company provides list of client sites to potential customers on request
692
yes (complete list with no restrictions)
10
yes (partial list of comparable sites with no restrictions)
no
Year company began selling AP systems (any brand or model)
Most recent installation of this AP system*
Last product release or update for featured AP system*
Total No. of contracts for sites operating AP system
• No. of sales and installations of this system between Dec. 2020–Nov. 2021
No. of sites operating AP system (hospitals/independent labs/clinics or
group practices/other U.S. sites/foreign sites)
Company markets this AP system outside the U.S.
• Foreign locations in which system installed
Human languages (other than English) offered on system
Clients restricted from sharing their experience with company or software
no
62
yes (complete list but prospective client must sign a
nondisclosure agreement)
no
Range in No. of surgical pathology cases per year in installed sites
Range in No. of gynecologic cytology cases per year in installed sites
1,000–80,000
0–4,500
10,000–350,000
30,000–500,000
4,000–420,000
12,000–75,000
Programming languages and development applications or environments
Databases and tools
Java, .Net, Smalltalk
Oracle, SQL server, PostgreSQL
Java
Microsoft SQL, Oracle
Clarion, C++, .Net, Java, C#
Actian, Crystal Reports, Custom Report Writer
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
not available for this software
installed at client sites
installed at client sites
not available for this software
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
not available for this software
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
Percentage of sites using result-reporting interfaces to external systems
based on transmission of fully formatted (e.g., PDF or CDA) results
40%
18%
25%
Software provides indexed field in each test definition for LOINC code
AP system supports use of SNOMED CT for all cases
yes
yes
yes (provide current LOINC dictionary with install)
yes
no
yes
System can auto. send tumor diagnoses to regional or state tumor registry
using NAACCR Pathology Lab Electronic Reporting, vol. V, version 4.0
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
Company uses third-party product for interfaces between AP system
and instruments
Other vendors’ lab systems to which AP system can bidirectionally interface
no (interface directly)
no (interface directly)
no (interface directly)
Meditech, Cerner, SCC Soft Computer, Epic,
Thermo-Watson, others
McKesson, Cerner, Sunquest, CompuGroup Medical
(Schuyler House), Orchard, Xifin
Cerner, Allscripts, Epic, GE Healthcare, Meditech,
NextGen, Practice Fusion, eClinicalWorks, others
Voice-recognition products or partners that system uses
Digital pathology or WSI systems that interface to AP system
Nuance Dragon NaturallySpeaking
Leica, Philips
Nuance Dragon Dictate, Dolbey Fusion Voice
Leica, Philips, Agilent Dako, Roche, Proscia, Hamamatsu
Nuance Dragon NaturallySpeaking, Voicebrook
Leica, Philips, Roche
Client receives copy of source code
User group that meets on established schedule
Qualified users or third parties can modify or augment AP system
functionality or features
Methods by which users can tailor AP system in their own setting
escrow
yes (in person)
yes (client users and designated third parties)
escrow
yes (in person, via webinar, and via conference call)
yes (client users)
escrow
yes (via conference call)
no (all modifications made by vendor)
ad hoc query tools, user-defined interfaces, dictionary
settings, read/write privileges, rules engine, dashboards,
interoperability tools
• customer-configurable workflow tools: rules engine,
queries, dashboards, interoperability
• full integration with molecular and other lab
department workflows
ad hoc query tools, user-defined interfaces, dictionary
settings, read/write privileges
ad hoc query tools, dictionary settings
• integrated lab operating platform with configurable
modules for AP, CP, MDx, RCM/billing, and more on
one shared database
• c omprehensive software platform; responsive service
• integrated complete billing and specimen tracking;
powerful macro system for resulting
• full-featured, robust system customized to client’s
workflow; low cost
Features/modules incorporated in product:
• Surgical pathology information system/Cytology information system
• Autopsy information system/Autopsy measurements, organ weights
• Scan and store manual requisition
• Specimen tracking/Specimen storage and retrieval
• Entry of block IDs
• Print specimen labels/Print histology slide labels
• Print barcoded slide labels/Print barcoded cassettes
• Print linear barcodes/Print two-dimensional barcodes
• Print histology worksheets
• Word processing—vendor specific
• Voice entry of gross description/Voice entry of final diagnosis
• Gross images integrated in reports
• Microscopic images integrated in reports
• Electronic signature
• Remote printing of completed reports
• Automatically fax reports to clients without manual intervention
• Web-based remote inquiry of reports
• Physician Web access for order entry
• Natural language search capability
• Multi-site or multi-facility–wide area network
• Sound-alike (e.g., Soundex) retrieval of patient history
• Produce tumor board reports/Produce management reports
• Reports sufficient to comply with CLIA ’88 regulations
• Comprehensive billing and AR/Interface to external billing system
• Inbound result-reporting interface to receive discrete results from
an external lab and store them in patient record
• EHR interface: admissions/discharge/transfer (ADT)
• EHR interface: result reporting/Report sent to EHR as PDF for clinician
• EHR interface: incoming clinical results
• Partin tables/Gleason score calculations
• Synoptic reporting for microscopic examination/For gross examination
• CAP electronic cancer checklists automatically embedded
• Client services module/Consult management and reporting
• LIS manager or lab employee can create ad hoc reports accessing all
data elements in AP system
• Lab can define and modify schedule under which management and
patient reports are automatically compiled and run
• Business analytics/Management dashboard
• Support for molecular testing and reporting
Distinguishing product features (supplied by company)
*based on December 2021 survey deadline
Note: a dash as an answer means company did not answer
question or question is not applicable
All information is supplied by the companies listed. The tabulation does not represent an endorsement by the CAP.
†formerly
LigoLab AP/LIS & RCM 2021
ANATOMIC PATHOLOGY COMPUTER SYSTEMS
FEBRUARY 2022 | CAP TODAY 57
Part 4 of 7
NetSoft
Byron Davis bdavis@netsoftusa.com
Snellville, GA
678-325-2909 www.netsoftusa.com
NovoPath, LLC
Dayna Carlin dcarlin@novopath.com
Bridgewater, NJ
877-668-6123 www.novopath.com
Orchard Software Corp.
Steve Hurwitz shurwitz@orchardsoft.com
Carmel, IN
800-856-1948 www.orchardsoft.com
Name of anatomic pathology system
How AP system functionality is deployed
Configuration of AP system
IntelliPath Pro
available as a cloud-based offering
available as a standalone product designed to interface
with any company’s LIS and EHR
NovoPath 360†
available as a cloud-based offering
available as a standalone product designed to interface
with any company’s LIS and EHR
Year company began selling AP systems (any brand or model)
Most recent installation of this AP system*
Last product release or update for featured AP system*
Total No. of contracts for sites operating AP system
• No. of sales and installations of this system between Dec. 2020–Nov. 2021
No. of sites operating AP system (hospitals/independent labs/clinics or
group practices/other U.S. sites/foreign sites)
Company markets this AP system outside the U.S.
• Foreign locations in which system installed
Human languages (other than English) offered on system
2001
October 2021
November 2021 (version 1.0.56.0/1.4.213)
3
6 sales and 3 installations
3 (0/3/0/0/0)
yes (in UK, Europe)
—
—
1999
November 2021
November 2021 (version 360)
255
5 sales and 7 installations
421 (breakdown of U.S. sites not tracked; 4 foreign
sites–hospitals, reference labs)
no
—
Latin languages supported by Windows; fields
customizable to most languages
Orchard Enterprise Pathology†
available as local server/software, ASP, and cloud based
available as a dedicated module for Orchard’s clinical
LIS and as a standalone product designed to interface
with any company’s LIS and EHR
2006
—
—
1 (new product; contract for pilot site)
1 sale and 1 installation underway at hospital pilot site
—
Approximate No. of employees in entire company
Company provides list of client sites to potential customers on request
10
yes (partial list of comparable sites with no restrictions)
Clients restricted from sharing their experience with company or software
no
—
—
no
55
yes (partial list of comparable sites but prospective
client must sign a nondisclosure agreement)
no
277
yes (partial list of comparable sites but prospective
client must sign a nondisclosure agreement)
no
Range in No. of surgical pathology cases per year in installed sites
Range in No. of gynecologic cytology cases per year in installed sites
10,000–15,000
—
2,000–1,000,000
1,000–750,000
8,000– 11,000 (pilot site)
8,000– 11,000 (pilot site)
Programming languages and development applications or environments
Databases and tools
HTML, CSS, JavaScript, C#
SQL, Microsoft Azure, Report Builder, Power BI
Microsoft Visual Studio
Amazon Web Services
Java
SQL, Apache Tomcat
installed at client sites/under development
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
under development
installed at client sites
not available for this software
not available for this software
installed at client sites/installed at client sites
under development
under development/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
available via a third party/available via a third party
available but not installed
—
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
not available for this software
installed at client sites
not available for this software
installed at client sites/installed at client sites
installed at client sites
not available for this software/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
available via a third party
not available for this software/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
in testing/in testing
installed at client sites/installed at client sites
not available for this software
installed at client sites/installed at client sites
installed at client sites
under development
installed at client sites
installed at client sites
installed at client sites/installed at client sites
under development
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
available via Orchard Molecular
Percentage of sites using result-reporting interfaces to external systems
based on transmission of fully formatted (e.g., PDF or CDA) results
100%
85%
0
Software provides indexed field in each test definition for LOINC code
AP system supports use of SNOMED CT for all cases
no
yes
yes
yes
yes
yes
System can auto. send tumor diagnoses to regional or state tumor registry
using NAACCR Pathology Lab Electronic Reporting, vol. V, version 4.0
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
Company uses third-party product for interfaces between AP system
and instruments
Other vendors’ lab systems to which AP system can bidirectionally interface
no (interface directly)
no (interface directly)
no (interface directly)
Cerner, Allscripts, Epic, GE Healthcare, Meditech,
NextGen, Practice Fusion, eClinicalWorks, others
Cerner, Epic, Meditech, Allscripts, CompuGroup Medical,
CPSI, GE Healthcare, NextGen, Sunquest, Orchard, others
Allscripts, GE Healthcare, Siemens, Cerner, Meditech,
eMDs, McKesson, others
Nuance Dragon NaturallySpeaking, Voicebrook
Dolbey Fusion Narrate, NVoq SayIt, Voicebrook
VoiceOver, 3M M*Modal Fluency Direct, Nuance Dragon
none
Features/modules incorporated in product:
• Surgical pathology information system/Cytology information system
• Autopsy information system/Autopsy measurements, organ weights
• Scan and store manual requisition
• Specimen tracking/Specimen storage and retrieval
• Entry of block IDs
• Print specimen labels/Print histology slide labels
• Print barcoded slide labels/Print barcoded cassettes
• Print linear barcodes/Print two-dimensional barcodes
• Print histology worksheets
• Word processing—vendor specific
• Voice entry of gross description/Voice entry of final diagnosis
• Gross images integrated in reports
• Microscopic images integrated in reports
• Electronic signature
• Remote printing of completed reports
• Automatically fax reports to clients without manual intervention
• Web-based remote inquiry of reports
• Physician Web access for order entry
• Natural language search capability
• Multi-site or multi-facility–wide area network
• Sound-alike (e.g., Soundex) retrieval of patient history
• Produce tumor board reports/Produce management reports
• Reports sufficient to comply with CLIA ’88 regulations
• Comprehensive billing and AR/Interface to external billing system
• Inbound result-reporting interface to receive discrete results from
an external lab and store them in patient record
• EHR interface: admissions/discharge/transfer (ADT)
• EHR interface: result reporting/Report sent to EHR as PDF for clinician
• EHR interface: incoming clinical results
• Partin tables/Gleason score calculations
• Synoptic reporting for microscopic examination/For gross examination
• CAP electronic cancer checklists automatically embedded
• Client services module/Consult management and reporting
• LIS manager or lab employee can create ad hoc reports accessing all
data elements in AP system
• Lab can define and modify schedule under which management and
patient reports are automatically compiled and run
• Business analytics/Management dashboard
• Support for molecular testing and reporting
Voice-recognition products or partners that system uses
Digital pathology or WSI systems that interface to AP system
Leica, Philips, Roche
Nuance, Voicebrook, Windows Speech (Cortana),
M*Modal
Philips, Leica Aperio, Motic
Client receives copy of source code
User group that meets on established schedule
Qualified users or third parties can modify or augment AP system
functionality or features
Methods by which users can tailor AP system in their own setting
no
yes (via conference call)
no (all modifications made by vendor)
no
yes (via webinar)
yes (client users)
escrow
yes (will meet via webinar)
yes (client users)
ad hoc query tools, dictionary settings
ad hoc query tools, read/write privileges, pathology
report formatting, application formatting, others
• customizable dashboard to help with workflow
efficiencies
• results produced quickly using powerful internal
macro system
• Web-based SaaS deployment model; accession-tostorage specimen tracking
• p athologist and staff scheduler with case
auto-assignment
ad hoc query tools, user-defined interfaces, dictionary
settings, rules-based decision-making technology,
user-defined fields and ID formats, others
• ability to design unique workflows
• robust rules and options for patient report formatting
Distinguishing product features (supplied by company)
*based on December 2021 survey deadline
Note: a dash as an answer means company did not answer
question or question is not applicable
All information is supplied by the companies listed. The tabulation does not represent an endorsement by the CAP.
†formerly NovoPath Anatomic Pathology Software
System; NovoPath 360 also marketed by Allscripts
†anticipated
for commercial release first quarter 2022
58 CAP TODAY | FEBRUARY 2022
ANATOMIC PATHOLOGY COMPUTER SYSTEMS
Part 5 of 7
Orchard Software Corp.
Steve Hurwitz shurwitz@orchardsoft.com
Carmel, IN
800-856-1948 www.orchardsoft.com
Psychē Systems
Kyle Anderson sales@psychesystems.com
Hopkinton, MA
508-372-8544 www.psychesystems.com
Name of anatomic pathology system
How AP system functionality is deployed
Configuration of AP system
Orchard Pathology
available as local server/software, ASP, and cloud based
available as a dedicated module for Orchard’s clinical
LIS and as a standalone product designed to interface
with any company’s LIS and EHR
WindoPath E.ssential†
available as an ASP and cloud based
available as a standalone product designed to interface
with any company’s LIS and EHR
Year company began selling AP systems (any brand or model)
Most recent installation of this AP system*
Last product release or update for featured AP system*
Total No. of contracts for sites operating AP system
• No. of sales and installations of this system between Dec. 2020–Nov. 2021
No. of sites operating AP system (hospitals/independent labs/clinics or
group practices/other U.S. sites/foreign sites)
Company markets this AP system outside the U.S.
• Foreign locations in which system installed
2006
January 2021
October 2021 (version 13.211008)
117
1 sale and 1 installation
118 (19/45/42/12–public health labs, research,
veterinary/0)
no
—
Human languages (other than English) offered on system
Approximate No. of employees in entire company
Company provides list of client sites to potential customers on request
SCC Soft Computer
Ellie Vahman ellie@softcomputer.com
Clearwater, FL
800-763-8352 www.softcomputer.com
SoftPathDx†
available as local server/software, ASP, and cloud based
available as a dedicated module for SCC’s clinical LIS
and as a standalone product designed to interface with
any company’s LIS and EHR (7% of installations use AP
system as a standalone product)
1983
1993
June 2021
October 2021
November 2021 (version E.1103)
July 2021 (version 4.2)
90
117
—
3 sales and 10 installations
115 (32/59/13/10–university research/1–multi-specialty 481 (179/17/37/0/248–public health system hospitals,
anatomic pathology)
pathology labs, commercial labs)
yes (in Canada)
yes (worldwide)
Canada
Australia, Canada, France, Jamaica, Hong Kong,
Indonesia, Israel, Malaysia, Singapore
—
French, Hebrew
27
1,700
yes (partial list of comparable sites with no restrictions)
yes (partial list of comparable sites with no restrictions)
Clients restricted from sharing their experience with company or software
—
277
yes (partial list of comparable sites but prospective
client must sign a nondisclosure agreement)
no
no
no
Range in No. of surgical pathology cases per year in installed sites
Range in No. of gynecologic cytology cases per year in installed sites
8,000–150,000
11,000–150,000
1,000–10,000+
100–30,000
2,000–600,000
2,000–175,000
Programming languages and development applications or environments
Databases and tools
4D, Java, C++
SQL, Apache Tomcat
Visual Basic, Visual Basic .Net, Smalltalk
Microsoft SQL server, InterFax
C, C++, Java, Microsoft .Net, HTML5-based portal
Oracle, PostgreSQL, Tableau
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
available via a third party/available via a third party
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
not available for this software
installed at client sites
not available for this software
installed at client sites/installed at client sites
installed at client sites
not available for this software/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
available via a third party/available via a third party
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
available via Psychē’s e.Outreach
not available for this software
installed at client sites
installed at client sites
installed at client sites/available via Psychē’s e.Query
available via Psychē’s e.Query
not available for this software/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
available via SCC’s SoftTrack/available via SCC’s SoftBiobank
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
not available for this software
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
available via Psychē’s e.Synoptic (both features)
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
available via SCC’s SoftBI/available via SCC’s SoftBI
Features/modules incorporated in product:
• Surgical pathology information system/Cytology information system
• Autopsy information system/Autopsy measurements, organ weights
• Scan and store manual requisition
• Specimen tracking/Specimen storage and retrieval
• Entry of block IDs
• Print specimen labels/Print histology slide labels
• Print barcoded slide labels/Print barcoded cassettes
• Print linear barcodes/Print two-dimensional barcodes
• Print histology worksheets
• Word processing—vendor specific
• Voice entry of gross description/Voice entry of final diagnosis
• Gross images integrated in reports
• Microscopic images integrated in reports
• Electronic signature
• Remote printing of completed reports
• Automatically fax reports to clients without manual intervention
• Web-based remote inquiry of reports
• Physician Web access for order entry
• Natural language search capability
• Multi-site or multi-facility–wide area network
• Sound-alike (e.g., Soundex) retrieval of patient history
• Produce tumor board reports/Produce management reports
• Reports sufficient to comply with CLIA ’88 regulations
• Comprehensive billing and AR/Interface to external billing system
• Inbound result-reporting interface to receive discrete results from
an external lab and store them in patient record
• EHR interface: admissions/discharge/transfer (ADT)
• EHR interface: result reporting/Report sent to EHR as PDF for clinician
• EHR interface: incoming clinical results
• Partin tables/Gleason score calculations
• Synoptic reporting for microscopic examination/For gross examination
• CAP electronic cancer checklists automatically embedded
• Client services module/Consult management and reporting
• LIS manager or lab employee can create ad hoc reports accessing all
data elements in AP system
• Lab can define and modify schedule under which management and
patient reports are automatically compiled and run
• Business analytics/Management dashboard
installed at client sites
available via Psychē’s e.Query, e.Dashboard/available via
Psychē’s e.Dashboard
available via Psychē’s NucleoLIS
Percentage of sites using result-reporting interfaces to external systems
based on transmission of fully formatted (e.g., PDF or CDA) results
70%
60%
100%
Software provides indexed field in each test definition for LOINC code
AP system supports use of SNOMED CT for all cases
System can auto. send tumor diagnoses to regional or state tumor registry
using NAACCR Pathology Lab Electronic Reporting, vol. V, version 4.0
Company uses third-party product for interfaces between AP system
and instruments
Other vendors’ lab systems to which AP system can bidirectionally interface
yes
yes
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
no (interface directly)
yes
yes
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
combination of direct interfaces and third-party systems
(Data Innovations)
Siemens, McKesson, Meditech, Cerner, Epic, Sunquest,
Orchard, VitalAxis, NextGen, Lifepoint, others
Nuance Dragon NaturallySpeaking
yes (provide current LOINC dictionary with install)
yes
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
no (interface directly)
•
Support for molecular testing and reporting
Voice-recognition products or partners that system uses
Digital pathology or WSI systems that interface to AP system
Client receives copy of source code
User group that meets on established schedule
Qualified users or third parties can modify or augment AP system
functionality or features
Methods by which users can tailor AP system in their own setting
Distinguishing product features (supplied by company)
*based on December 2021 survey deadline
Note: a dash as an answer means company did not answer
question or question is not applicable
Allscripts, GE Healthcare, Siemens, Cerner, Meditech,
eMDs, McKesson, others
NVoq SayIt, Nuance Dragon, Dolbey Fusion Narrate,
Voicebrook VoiceOver, 3M M*Modal Fluency Direct
Leica Aperio
available via SCC’s SoftMolecular
Cerner, Epic, McKesson, Sunquest, others
Philips, Leica, Roche Ventana, Thermo Fisher, others
Voicebrook, Nuance Dragon, eScription, TalkStation,
M*Modal
Leica Aperio, Philips, open source/homegrown
escrow
yes (via webinar)
yes (client users)
no
no
yes (client users)
escrow
yes (in person, via webinar, and via conference call)
yes (client users)
ad hoc query tools, user-defined interfaces, dictionary
settings, rules-based decision-making technology,
user-defined fields and ID formats, others
• single all-inclusive system that uses same database
for clinical and pathology
• report data structured for standardization and
synoptic reporting
ad hoc query tools, user-defined interfaces, dictionary
settings, translation table, API, client-requested
customizations
• d eveloping WindoPath LIS for decades; product
prepared to handle all specialties
• b uilt to accommodate laboratory workflows;
customizable
†formerly WindoPath
ad hoc query tools, user-defined interfaces, dictionary
settings, read/write privileges, workflow engine, rules
engine, test protocol designer, security settings, others
• full integration with digital pathology and genetics/NGS
• time-saving automated integrated content reporting
auto-compiled from multiple sources
†formerly SoftPath; SoftPathDx also marketed by SCCdesignated consultants, international distributors/agents
All information is supplied by the companies listed. The tabulation does not represent an endorsement by the CAP.
ANATOMIC PATHOLOGY COMPUTER SYSTEMS
FEBRUARY 2022 | CAP TODAY 59
Part 6 of 7
Sunquest Information Systems
Tyler Winters tyler.winters@sunquestinfo.com
Tucson, AZ
520-570-2000 www.sunquestinfo.com
Sunquest Information Systems
Tyler Winters tyler.winters@sunquestinfo.com
Tucson, AZ
520-570-2000 www.sunquestinfo.com
VitalAxis
Tharak Krishnamurthy sales@vitalaxis.com
Toms River, NJ
866-441-0268 www.vitalaxis.com
Name of anatomic pathology system
How AP system functionality is deployed
Configuration of AP system
Sunquest CoPathPlus
available as local server/software and an ASP
available as a standalone product designed to interface
with any company’s LIS and EHR
Sunquest PowerPath
available as local server/software and an ASP
available as a standalone product designed to interface
with any company’s LIS and EHR
Year company began selling AP systems (any brand or model)
Most recent installation of this AP system*
Last product release or update for featured AP system*
Total No. of contracts for sites operating AP system
• No. of sales and installations of this system between Dec. 2020–Nov. 2021
No. of sites operating AP system (hospitals/independent labs/clinics or
group practices/other U.S. sites/foreign sites)
Company markets this AP system outside the U.S.
• Foreign locations in which system installed
1982
November 2019
July 2020 (version 7.1)
129
—
129 (100/18/2/0/9–health organizations)
1982
June 2021
August 2020 (version 12.0)
124
—
124 (91/24/4/1–specialty start-up/4–health organizations)
VitalDx LIS†
available as a cloud-based offering
available as a dedicated module for VitalAxis’ clinical LIS
and as a standalone product designed to interface with
any company’s LIS and EHR (90% of installations use AP
system as a standalone product)
2006
November 2021
November 2021 (version 6.87SP5)
160
12 sales and 12 installations
141 (1/48/92/0/0)
yes (in Canada, Australia, New Zealand, Singapore)
Canada, Australia
no
—
Human languages (other than English) offered on system
yes (in Canada)
UK, Ireland, Canada, Bermuda, Bahamas, Saudi Arabia,
United Arab Emirates
—
—
—
Approximate No. of employees in entire company
Company provides list of client sites to potential customers on request
—
yes (partial list of comparable sites with no restrictions)
—
yes (partial list of comparable sites with no restrictions)
Clients restricted from sharing their experience with company or software
no
no
525
yes (partial list of comparable sites but prospective
client must sign a nondisclosure agreement)
no
Range in No. of surgical pathology cases per year in installed sites
Range in No. of gynecologic cytology cases per year in installed sites
700–500,000
0–600,000
1,500–480,000
5,000–350,000
12,000–300,000
12,000–300,000
Programming languages and development applications or environments
Databases and tools
C++, Visual Basic, PowerBuilder
Sybase, Microsoft SQL server (Q2 2022)
C#, .Net, Borland Delphi
Microsoft SQL
.Net Suite (C#), Java, HTML, CSS, JavaScript
SQL Server 2019x
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
available via Sunquest Physician Portal for AP
available via Sunquest Physician Portal for AP
installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
available via Sunquest Physician Portal for AP
available via Sunquest Physician Portal for AP
installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
not avail. for this software/not avail. for this software
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
available via a third party/available via a third party
available via a third party/available via a third party
available via a third party
not available for this software/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
not available for this software/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
avail. via Sunquest Analytics/avail. via Sunquest Analytics
installed at client sites
avail. via Sunquest Analytics/avail. via Sunquest Analytics
installed at client sites
installed at client sites/installed at client sites
installed at client sites
Percentage of sites using result-reporting interfaces to external systems
based on transmission of fully formatted (e.g., PDF or CDA) results
48%
38%
70%
Software provides indexed field in each test definition for LOINC code
AP system supports use of SNOMED CT for all cases
no
for cancer cases with CAP electronic cancer checklists
yes
yes
yes (provide current LOINC dictionary with install)
no
System can auto. send tumor diagnoses to regional or state tumor registry
using NAACCR Pathology Lab Electronic Reporting, vol. V, version 4.0
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
Company uses third-party product for interfaces between AP system
and instruments
Other vendors’ lab systems to which AP system can bidirectionally interface
combination of direct interfaces and third-party systems
(Data Innovations)
Epic, McKesson, Cerner, Siemens, GE Healthcare,
Allscripts, Meditech, others
combination of direct interfaces and third-party systems
(Data Innovations)
Allscripts, Cerner, Epic, GE Healthcare, McKesson,
Meditech, Siemens, 4medica, others
combination of direct interfaces and third-party systems
Voice-recognition products or partners that system uses
Digital pathology or WSI systems that interface to AP system
Nuance Dragon, Voicebrook, M*Modal
Roche, Leica, Philips, Inspirata
Nuance Dragon, Voicebrook, M*Modal
Roche, Leica, Philips
Nuance Dragon
—
Client receives copy of source code
User group that meets on established schedule
Qualified users or third parties can modify or augment AP system
functionality or features
Methods by which users can tailor AP system in their own setting
optional
yes (in person and via webinar)
no (all modifications made by vendor)
optional
yes (in person and via webinar)
no (all modifications made by vendor)
no
yes (via webinar, via conference call, on a need basis)
yes (client users)
ad hoc query tools; user-defined interfaces; dictionary
settings; client-defined, rules-based workflows around
AP processes and reflexes
• integrated AP/molecular reports to enhance outcomes
and improve care coordination
• comprehensive specimen management for safety and
efficiency
ad hoc query tools, user-defined interfaces, dictionary
settings, rules-based workflows around AP processes
and reflexes, customizable Crystal Reports
• integrated AP/molecular reports to enhance outcomes
and improve care coordination
•C
ase Finder: robust, user-friendly ad hoc query tool
ad hoc query tools; user-defined interfaces; dictionary
settings; read/write privileges; administrative tools to
customize workflows, screen designs, reports, more
• singular LIS for multiple specialties, including pathology,
molecular, genetics, and NGS
• entire diverse networks of physicians, send-out labs,
and external pathologists use the same system
Features/modules incorporated in product:
• Surgical pathology information system/Cytology information system
• Autopsy information system/Autopsy measurements, organ weights
• Scan and store manual requisition
• Specimen tracking/Specimen storage and retrieval
• Entry of block IDs
• Print specimen labels/Print histology slide labels
• Print barcoded slide labels/Print barcoded cassettes
• Print linear barcodes/Print two-dimensional barcodes
• Print histology worksheets
• Word processing—vendor specific
• Voice entry of gross description/Voice entry of final diagnosis
• Gross images integrated in reports
• Microscopic images integrated in reports
• Electronic signature
• Remote printing of completed reports
• Automatically fax reports to clients without manual intervention
• Web-based remote inquiry of reports
• Physician Web access for order entry
• Natural language search capability
• Multi-site or multi-facility–wide area network
• Sound-alike (e.g., Soundex) retrieval of patient history
• Produce tumor board reports/Produce management reports
• Reports sufficient to comply with CLIA ’88 regulations
• Comprehensive billing and AR/Interface to external billing system
• Inbound result-reporting interface to receive discrete results from
an external lab and store them in patient record
• EHR interface: admissions/discharge/transfer (ADT)
• EHR interface: result reporting/Report sent to EHR as PDF for clinician
• EHR interface: incoming clinical results
• Partin tables/Gleason score calculations
• Synoptic reporting for microscopic examination/For gross examination
• CAP electronic cancer checklists automatically embedded
• Client services module/Consult management and reporting
• LIS manager or lab employee can create ad hoc reports accessing all
data elements in AP system
• Lab can define and modify schedule under which management and
patient reports are automatically compiled and run
• Business analytics/Management dashboard
• Support for molecular testing and reporting
Distinguishing product features (supplied by company)
*based on December 2021 survey deadline
Note: a dash as an answer means company did not answer
question or question is not applicable
All information is supplied by the companies listed. The tabulation does not represent an endorsement by the CAP.
Seacoast, Ovation, CompuGroup Medical
†formerly VitalAxis LIS; VitalDx LIS also marketed by P4
Diagnostix, Miraca Life Sciences, PLUS Diagnostix
60 CAP TODAY | FEBRUARY 2022
ANATOMIC PATHOLOGY COMPUTER SYSTEMS
Part 7 of 7
WebPathLab
Peter Williams peter@webpathlab.com
Folsom, CA
916-542-1386 www.webpathlab.com
XIFIN
Joseph Nollar jnollar@xifin.com
San Diego, CA
858-793-5700 www.xifin.com
Name of anatomic pathology system
How AP system functionality is deployed
Configuration of AP system
WebPathLab
available as a cloud-based offering
available as the core module of WebPathLab LIS and
as a standalone product designed to interface with any
company’s LIS and EHR using an HL7 interface
Year company began selling AP systems (any brand or model)
Most recent installation of this AP system*
Last product release or update for featured AP system*
Total No. of contracts for sites operating AP system
• No. of sales and installations of this system between Dec. 2020–Nov. 2021
No. of sites operating AP system (hospitals/independent labs/clinics or
group practices/other U.S. sites/foreign sites)
Company markets this AP system outside the U.S.
• Foreign locations in which system installed
Human languages (other than English) offered on system
2000
July 2021
July 2021 (version 2i-3)
40
5 sales and 4 installations
40 (3/31/0/0/6–independent labs)
XIFIN LIS†
available as a cloud-based offering
available as a dedicated module for XIFIN’s clinical
LIS and EHR and as a standalone product designed
to interface with any company’s LIS and EHR (40% of
installations use AP system as a standalone product)
2004
December 2021
November 2021 (version 8.0)
72
8 sales and 3 installations
82 (0/55/20/0/7–AP, molecular labs)
yes (in Latin America, Europe, Middle East, China, India)
Mexico, Dominican Republic, Saudi Arabia, Bahrain, Ecuador
Spanish, Chinese (Mandarin)
yes (in Africa, Asia, Europe)
UK, China, Holland, Rwanda, Tanzania, Ethiopia, Haiti
Chinese (simplified Mandarin)
Approximate No. of employees in entire company
Company provides list of client sites to potential customers on request
Clients restricted from sharing their experience with company or software
10
484
yes (partial list of comparable sites with permission but yes (partial list of comparable sites with no restrictions)
prospective client must sign a nondisclosure agreement)
no
no
Range in No. of surgical pathology cases per year in installed sites
Range in No. of gynecologic cytology cases per year in installed sites
2,500–180,000
800–50,000
5,250–223,000
15,000–75,000
Programming languages and development applications or environments
Databases and tools
ASP .Net, AJAX
MySQL
C#, .Net
SQL
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
available but not installed/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
available via XIFIN RPM/available via XIFIN RPM
installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
—
installed at client sites/installed at client sites
—
installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
—
under development
installed at client sites/installed at client sites
installed at client sites
installed at client sites/installed at client sites
installed at client sites
Percentage of sites using result-reporting interfaces to external systems
based on transmission of fully formatted (e.g., PDF or CDA) results
95%
85%
Software provides indexed field in each test definition for LOINC code
AP system supports use of SNOMED CT for all cases
no
no
yes
yes
System can auto. send tumor diagnoses to regional or state tumor registry
using NAACCR Pathology Lab Electronic Reporting, vol. V, version 4.0
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
yes (pathologist can also set a flag for “send this case to
tumor registry” on any case record)
Company uses third-party product for interfaces between AP system
and instruments
Other vendors’ lab systems to which AP system can bidirectionally interface
yes, for all instrument interfaces (Mirth Connect, Qvera)
combination of direct interfaces and third-party systems
(Data Innovations)
Epic, Cortex, Allscripts, Meditech, Cerner, GE Healthcare,
eClinicalWorks, Practice Fusion, eMDs, others
Voice-recognition products or partners that system uses
Nuance Dragon NaturallySpeaking
Features/modules incorporated in product:
• Surgical pathology information system/Cytology information system
• Autopsy information system/Autopsy measurements, organ weights
• Scan and store manual requisition
• Specimen tracking/Specimen storage and retrieval
• Entry of block IDs
• Print specimen labels/Print histology slide labels
• Print barcoded slide labels/Print barcoded cassettes
• Print linear barcodes/Print two-dimensional barcodes
• Print histology worksheets
• Word processing—vendor specific
• Voice entry of gross description/Voice entry of final diagnosis
• Gross images integrated in reports
• Microscopic images integrated in reports
• Electronic signature
• Remote printing of completed reports
• Automatically fax reports to clients without manual intervention
• Web-based remote inquiry of reports
• Physician Web access for order entry
• Natural language search capability
• Multi-site or multi-facility–wide area network
• Sound-alike (e.g., Soundex) retrieval of patient history
• Produce tumor board reports/Produce management reports
• Reports sufficient to comply with CLIA ’88 regulations
• Comprehensive billing and AR/Interface to external billing system
• Inbound result-reporting interface to receive discrete results from
an external lab and store them in patient record
• EHR interface: admissions/discharge/transfer (ADT)
• EHR interface: result reporting/Report sent to EHR as PDF for clinician
• EHR interface: incoming clinical results
• Partin tables/Gleason score calculations
• Synoptic reporting for microscopic examination/For gross examination
• CAP electronic cancer checklists automatically embedded
• Client services module/Consult management and reporting
• LIS manager or lab employee can create ad hoc reports accessing all
data elements in AP system
• Lab can define and modify schedule under which management and
patient reports are automatically compiled and run
• Business analytics/Management dashboard
• Support for molecular testing and reporting
Athena, Meditech, Epic, Orchard, Allscripts, Practice
Fusion, eClinicalWorks, others
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ACCESS demos and webinars
from participating companies
Digital pathology or WSI systems that interface to AP system
Leica Aperio, 3DHistech
Dolbey Fusion Narrate, Voicebrook, Nuance Dragon
NaturallySpeaking
Leica Aperio, Roche Ventana, BioView, Motic, others
Client receives copy of source code
User group that meets on established schedule
Qualified users or third parties can modify or augment AP system
functionality or features
Methods by which users can tailor AP system in their own setting
escrow (optional)
no
no (all modifications made by vendor)
escrow
yes (via webinar)
yes (client users)
SEND RFIs and RFQs directly
through our safe and secure
channel
dictionary settings; customization of pathology reports,
slide/cassette labels, management reports; audit log
access; others
• 100% Web based; provides universal secure access
• fee can be pay-per-report at $1.00 or unlimited
reports with a licensing fee per pathologist and no
limit on the number of users; free updates
ad hoc query tools; user-defined interfaces; dictionary
settings; read/write privileges; user-managed test menu,
testing protocols, security privileges, more
• TC/PC workflow/revenue split management enabled
with digital pathology
• c onfigurable cloud solution that includes monthly
enhancements
GreenarrowDx team members welcome
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Distinguishing product features (supplied by company)
*based on December 2021 survey deadline
Note: a dash as an answer means company did not answer
question or question is not applicable
All information is supplied by the companies listed. The tabulation does not represent an endorsement by the CAP.
†formerly PathCentral AP Anywhere, eTeleNext AP Anywhere